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Individual
MS. SARA ANN DANIEL
Active
Individual
MS. SARA ANN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704092415
MI
363LF0000X
Family Nurse Practitioner
4704092415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4702431-10
—
MI
05
—
4702440-10
—
MI
01
—
SD092415
BLUE SHIELD
MI
Enumeration date
08/10/2006
Last updated
05/12/2008
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